Organization
CAPE GIRARDEAU SURGICAL SUPPLY LLC
Active
Other names
The Breast Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM M POPLE FACHE, FACMPE (OWNER)
(573) 519-5500
Entity
Organization
Contact information
Practice address
60 DOCTORS PARK STE 200, CAPE GIRARDEAU, MO 63703-4928
(573) 334-7253
Mailing address
60 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
06/19/2025
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